Eight respectively nine out of ten patients return to sport and work after distal femoral osteotomy

• DOI: 10.1007/s00167-018-5206-x
• Publication Date: 2018-10-22T08:59:50Z
• Authors: Alexander Hoorntje; Berbke T. van Gin...; P. Paul F. M. Kuijer; Koen L. M. Koenraadt; Rutger C. I. van ...; Gino M. M. J. Ker...; Ronald J. van Hee...
• Keywords: Return to Sport; Varus deformity

Distal femoral osteotomy (DFO) is a well-accepted procedure for the treatment of deformities and associated symptoms including osteoarthritis, especially in younger physically active patients whom knee arthroplasty undesirable. Still, there an apparent need evidence on relevant patient outcomes, return to sport (RTS) work (RTW), further justify use instead surgical alternatives. Therefore, purpose present study was investigate extent timing patients’ RTS RTW after DFO. This monocentre, retrospective cohort included consecutive DFO patients, operated between 2012 2015. Out 126 eligible (18–70 years, 63% female), all responded, 100 completed questionnaire. Median follow-up 3.4 years (range 1.5–5.2). The predominant indication surgery symptomatic unicompartmental osteoarthritis valgus or varus leg alignment caused by deformity. primary outcome measure percentage RTW. Secondary measures time RTS/RTW, sports level frequency, median pre-symptomatic postoperative Tegner activity score (1–10, higher more active) Lysholm (0–100, better). 84 participating preoperatively, 65 (77%) returned postoperatively. Forty-six (71%) within 6 months. Postoperative participation high-impact possible though less frequent compared preoperative participation. 80 working 73 (91%) postoperatively, 59 [4.0 0–10)] significantly (p < 0.01) than reported at [3.0 0–10)]. mean 68 (± 22). No significant differences were found osteoarthritis- non-osteoarthritis group. Eight out ten nine These are clinically findings, because they as alternative KA young, OA who wish high levels. Retrospective study, Level III.